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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - RW: How do you relate this back to a policy level?
BS: Keep it evidence based, period.
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - professionals who prioritize patient safety in their work and operations motivates attendees to go back … As you reflect back over 15 or 20 years of experience, has anything surprised you in terms of content … GM : I often reflect back on the honor and privilege I had to be there at the beginning of the federal … A few years ago for the series, I called him back to do an update on safety culture . … When I think back to my days at AHRQ, we had a fantasy that something like this would begin to happen
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - Many educational and training units use simulation to help teach new skills, refresh old skills, and … RW : Looking back on when you got interested in it and got involved as a faculty member, how has it played … RW : Looking back over the last 10 to 20 years of research, how would you summarize what the research … Getting back to your prior question, in terms of other improvements, video graphics have finally started … 2013
Perspective
Human Factors Engineering Can Teach
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psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
December 21, 2018 - He appeared to be doing well postoperatively and was transferred back to the pediatric acute rehabilitation … After realizing another surgical procedure would be needed, the patient was then transferred back to … After the procedure, the patient was then transferred back again to the rehabilitation facility, despite … Until these models fully evolve, we can expect these complex patients to ping pong back and forth between
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - overlapping
shifts, standardization of content, minimal interruptions, structured language, and read back—things … Very few people are using read
back even though it's been suggested. … unstable and the handoff is more than just temporary in the sense that
the team may or may not be coming back … sign-out with their cross cover who's going to be covering that patient for 8 to 12 hours
until they come back
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psnet.ahrq.gov/node/33760/psn-pdf
February 01, 2014 - You can get back into the task. … They teach us a lot about the sorts of
systems we can eventually put in place to minimize distraction … that the person using your system might be
distracted, turn away to do something else, and then come back … Of course the person answered the
text message and went back and forgot to order the medicine and it … https://blog.hospitalmedicine.org/putting-the-a-back-in-soap-notes-time-to-tackle-an-epic-problem/
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.17_slideshow.ppt
June 01, 2003 - Transition of care points are high risk for propagation
To minimize this type of error, take a step back
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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - AI encompasses a
lot of different domains, but at the root of each of those domains is trying to teach … Let’s step
back briefly and talk about the areas that AI has been used in healthcare historically. … Sarah Mossburg: I’m thinking back to the point you made earlier: that you can predict who’s at risk, … That handoff
back to humans is a fundamental concern for a lot of AI systems across industries. … Maybe AI can get us back to doing that and get us
energized to do it well for the sicker and sicker
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - In some cases, then, the state can report back to you on how you deliver care, and whether some of those … KH: Can we go back to the regional and state-level reporting programs you mentioned? … KH: When you are getting these data back and you are seeing trends, how are you using that information … And those skilled physicians can teach EMTs to administer and use ultrasound and transmit the images … of the public avoid the bad event (exercise and stop smoking to reduce the risk of a heart attack); teach
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - that we think that people are accepting it and willing to change their behaviors,
and yet they go back … Even with a low-cost simulator, you can create
scenarios that will teach people the skill sets they … JB: Well, we've had a couple of instances where people came back and told us that they probably stopped
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - Assessing the patient/caregiver’s ability to administer the medication and using the teach-back
method
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Once reported, events are analyzed and information is fed back to the reporting provider, as well as … Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Assessing the patient/caregiver’s ability to administer the medication and using the teach-back method
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Case & Commentary: Part 2
Eleven days later, the patient's family brought him back to the ED after … These interventions include:
Improving patient and family education by using the "Teach Back" method
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - But I want to make sure that people understand it’s that back and forth. … It’s not a good way to teach. … Another partnership opportunity at the organizational level, which was set back by the pandemic, is having … They have wonderful resources available on their website that teach patients and families, and patient … It is essential to teach and share information about medications for the transition of going home.
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - But I want to make sure that people understand it’s that back and forth. … It’s not a good way to teach. … Another partnership opportunity at the organizational level, which was set back by the pandemic, is having … They have wonderful resources available on their website that teach patients and families, and patient … It is essential to teach and share information about medications for the transition of going home.
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - We couldn't get money for it back then either. … communication, the money gets made by the lawyers through time spent in discovery, motions to quash, and back … be intimidated with what I know and my beliefs about it, I can only imagine that many families would back … CRICO/RMF
Kathy Dwyer Program Director, Loss Prevention and Patient SafetyCRICO/RMF
References
Back … [go to PubMed]
Table
Back to Top
Table.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - As you reflect
back over 15 or 20 years of experience, has anything surprised you in terms of content … GM: I often reflect back on the honor and privilege I had to be there at the beginning of the federal … A few
years ago for the series, I called him back to do an update on safety culture. … When I think
back to my days at AHRQ, we had a fantasy that something like this would begin to happen … If I had to think back on a few major changes that I
tried to make in health care organizations that
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - This surgeon recommended taking the patient back to
the operating room so that her tongue laceration
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - situation, background, assessment, recommendation, or request), closed-loop communication, call-out, check-back … , teach back, and structured handoffs, and specifically calls out the application of these strategies